| NPI | 1588069314 |
|---|---|
| Doing Business As | LAKELAND EAR NOSE & THROAT |
| Entity Type | Organization |
| Authorized Contact | WARREN WHITE Vice President Physician Practices 269-983-8127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MI 4301070920) |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2016-03-14 |